Individual
MELISSA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
336 SUNSET DR, SELINSGROVE, PA 17870-9508
(862) 354-0162
Mailing address
336 SUNSET DR, SELINSGROVE, PA 17870-9508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007671
PA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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